带血管蒂尺神经前置术治疗中重度肘管综合征

Anterior Subcutaneous Transposition of the Vascularized Ulnar Nerve in the Treatment of Moderate and Severe Cubital Tunnel Syndrome

目的探讨带血管蒂尺神经前置术在中重度肘管综合征治疗中的疗效。方法 2004年7月至2010年7月,对53例中重度肘管综合征患者应用2种不同术式进行了治疗。传统尺神经前置术患者22例,带血管蒂尺神经前置术患者31例。结果随访时间12~48个月,平均24个月。根据中华医学会手外科学会上肢部分功能评定试用标准,传统尺神经前置组：优2例,良10例,可7例,差3例。带血管蒂尺神经前置组：优6例,良19例,可5例,差1例。两组比较,其差异具有统计学意义。结论带血管蒂尺神经前置术治疗中重度肘管综合征,优于传统的尺神经前置术。

Objective T0 discuss the therapy effect of anterior transposition of the vaseularized ulnar nerve in the treatment of moderate and severe cubital tunnel syndrome. Methods Fifty three patients suffered moderate and severe cubital tunnel syndrome were selected, including 22 patients applying traditional ulnar nerve transposition and 31 patients applying the vascularized ulnar nerve transposition. Results All the patients were followed up, with the following time from 12 months to 48 months, averaged 24 months. According to the Chinese medical society of hand surgery trial upper part of the standard evaluation function assessment, the results were excellent in 2 cases, good in 10, fair in 7 and poor in 3 cases in traditional group. The results were excellent in 6 eases, good in 19, fair in 5 and poor in lease. The difference between two groups shows statistical significance. Conclusion The vaseularized unlar nerve anterior transposition is a better choice in the treatment of moderate and severe cubital tunnel syndrome compared with traditional ulnar nerve transposition.